Individual provider Active NPI

Jordan M Adkins, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wayne, WV
National Provider Identifier
1124424759
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN75796 Issued in WV
Practice address
42 McGinnis Dr
Wayne, WV 25570-9553
Phone
(304) 272-5136
Fax
(304) 272-6261
NPI assigned
Nov 10, 2014
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN75796 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75796NP WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN75796 WV Primary
Family Nurse Practitioner 363LF0000X 75796 WV

Addresses

Primary practice location

42 McGinnis Dr
Wayne, WV 25570-9553

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5159

Other practice location 1

85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310

Other practice location 2

22 Fleming Dr
Harts, WV 25524-9788
Phone (304) 855-4595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141223000873 WV Practitioner - Nurse Practitioner 3375866320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

2585 3Rd Ave
Huntington, WV 25703-1642

42 McGinnis Dr
Wayne, WV 25570-9553
Phone (304) 272-5136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75796NPWVMDPsychiatric/Mental Health Nurse Practitioner
APRN75796WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Aug 9, 2018 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 9, 2018 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 9, 2018 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
David J. Humphreys, MD, Psychiatrist Inc. PastSince Oct 13, 2014 Accepting new patients

Locations

22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: jadkins20142@valleyhealthsystems.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1124424759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-781-5159",
            "fax_number": "304-523-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MCGINNIS DR",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255709553",
            "telephone_number": "304-272-5136",
            "fax_number": "304-272-6261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "fax_number": "304-523-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Harts",
            "state": "WV",
            "postal_code": "255249788",
            "country_code": "US",
            "telephone_number": "304-855-4595",
            "fax_number": "304-855-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "JORDAN",
        "middle_name": "M",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2024-05-14",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN75796",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "75796NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN75796",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "75796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, WV

Sources for this page

Verify at the official NPI Registry.